HomeMy Public PortalAbout6044 1/2 KAUFFMAN AVE_Building__ 76A638A CE#80311-57 APPLICATION FOR BUILDING 'F�8RMIT rJ
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST.
DISTRICT NOJ GROUP I TYPE I SEWER MAP
FOR APPLICANT TO FILL IN PK PG
CONST. ,
BUILDING I
ADDRESS STATISTICAL CLASSIFICATION
LOT NO. BLOCK CLASS.NO. - DWELL.UNITS
MAP STATE YES NO -
NUMBER HWY.
TRACT USE ZONE SPECIAL
NO.OF BLDGS. CONDITIONSSIZE OF OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
i OWNER FRONT 1
MAIL P.L.
ADDRESS SIDE
TEL. P.L.
CITY NO. INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH'
SO. FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF - �;f f� APPROVALS
APPLICANT ` v
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS.MATERIALS
$ =FEE
C. FRAME: FIRE STOPS.
BRACING.BOLTS
ter- G�,. FURNACE: LOCATION.
VALUATION f GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH.EXT.
SIGNA'GJ'BEOF f` / .Fly /" HOUSE NUMBER COR-
PERMITrEF i f i / i " RECT AND POSTED
ADDRESS f' ' FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
OF